ClinicalTrials.gg
Active, not recruitingNCT05710315Updated Oct 13, 2026

Evaluating the Utility of RELiZORB™ for Treating Feeding Intolerance in Critically Ill Adults With Multi-Organ Failure

An interventional study of RELiZORB™ and Placebo in Multi Organ Failure and Exocrine Pancreatic Insufficiency, sponsored by Inova Health Care Services. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Inova Health Care Services · Not applicable, Interventional, and Diagnostic

Updated Oct 13, 2026Primary completion movedStudy completion movedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
All
01

Study summary

The purpose of this research is to determine if the use of RELiZORB™ improves nutrition tolerance and helps critically ill patients meet their nutrition goals. RELiZORB™ is a digestive enzyme cartridge that contains lipase and works as a pancreatic enzyme replacement. It promotes breaking down fat and helps the body absorb it. The device connects with tube feedings to help the body with digestion.

RELiZORB™ is approved by the U.S. Food and Drug Administration (FDA) for use with tube feedings in patients 5 years of age or older. While the use of RELiZORB™ in this study is consistent with the FDA approval, the use of RELiZORB™ in patients with multi organ failure is not in the current standard of care practice at Inova Health Care facilities.

Read the detailed description

This is a double-blind, placebo-controlled, parallel design study. A total of 32 adult patients who have been admitted to the Surgical or Medical Intensive Care Unit with evidence of MOF (defined as requiring mechanical ventilation and demonstrating at least one more system failure on the SOFA score on the day of ICU admission) and who have not yet been initiated on enteral nutrition or were initiated on enteral nutrition up to 48 hours prior.

After informed consent has been obtained, two patients will receive enteral formula administered through RELiZORB™ as test subjects (will be excluded from analysis). Subsequently, patients will be randomized to RELiZORB™ vs placebo cartridges in a 1:1 ratio. Enteral nutrition will be administered through RELiZORB™ cartridges (up to 6 cartridges per day depending on the volume of enteral nutrition). Patients will be studied for a total of 5 days (considered to be the end of study). Patients will return to the original form of nutritional support per their routine clinical care.

02

Conditions studied

  • Multi Organ Failure
  • Exocrine Pancreatic Insufficiency

Keywords

  • Multi Organ Failure
03

In context

Multiple Organ Failure

193 studies on the registry are indexed under Multiple Organ Failure; 47 are open to participants now.

This study's planned enrollment of 32 is below the median of 88 across 90 interventional studies indexed under Multiple Organ Failure.

Browse Multiple Organ Failure studies →

Lead sponsor

Inova Health Care Services is the lead sponsor of 86 studies on the registry; 20 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female patients aged 18 - 89 years of age.
  • Patients who have Multi-Organ Failure (MOF) (defined as requiring mechanical ventilation and demonstrating at least one more system failure on the SOFA score on the day of ICU admission).
  • Patients who have not yet been initiated on enteral nutrition, yet enteral nutritional support is needed, or patients who have been initiated on enteral nutrition within the previous 48 hours. Enteral nutrition support defined as support planned to be given via any route connected to the gastrointestinal system (i.e., the enteral route). This includes tube feeding using nasogastric, nasoduodenal, gastrostomy, jejunostomy tubes, or similar.
  • Patients who lack the capacity to consent for themselves may be included upon receiving consent from their legally authorized representatives.

Exclusion criteria

Exclusion Criteria:

  • Pregnant women and prisoners.
  • Hypotension is attributed to suspected or confirmed cardiogenic shock.
  • Evidence of unresolved intestinal obstruction, ischemia, bleeding, perforation, fistulas or tract discontinuity, or other for enteral nutrition.
  • Sepsis suspected or confirmed due to an abdominal source and enteral nutrition is contraindicated.
  • C. Difficile or other gastrointestinal infection that may manifest with diarrhea.
  • Use of pancreatic hormone stimulant or inhibitor (e.g. octreotide, pancreatic enzyme supplements) during or immediately prior to hospital admission.
  • Any other reason that the treating or investigator team considers to be a contraindication to enteral nutrition.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
32 participants (estimated)

Study arms

  • Experimental
    RELiZORB

    RELiZORB™ cartridges connect in-line with existing enteral feeding pump tubing sets and patient extension sets or enteral feeding tubes.

    Device: RELiZORB™

  • Placebo comparator
    Placebo

    Placebo cartridges connect in-line with existing enteral feeding pump tubing sets and patient extension sets or enteral feeding tubes

    Other: Placebo

Interventions

  • DeviceRELiZORB™

    RELiZORB cartridges will be used with routine enteral feedings for 5 days for randomized participants

  • OtherPlacebo

    Placebo cartridges will be used with routine enteral feedings for 5 days for randomized participants

06

What researchers measure

Primary outcomes

  1. Efficacy of RELiZORB™ in Enteral Nutrition Tolerance in Critically Ill Adults with Multiple Organ Failure Over Five Days

    Efficacy will be assessed by the total calories administered, expressed as the percentage of goal nutrition calories achieved daily, compared between the two groups over the five-day study period

    Time frame: Duration of intervention (5 days)

Secondary outcomes

  1. Number of intolerance-related enteral nutrition pauses

    The number of unplanned enteral nutrition pauses due to enteral nutrition intolerance

    Time frame: Duration of intervention (5 days)

  2. Insulin units used

    Insulin units used

    Time frame: Duration of intervention (5 days)

  3. Change in fecal elastase

    Change in fecal elastase as a measure of clinical exocrine pancreatic insufficiency

    Time frame: From Baseline to end of intervention at 5 days

07

Study locations

1 site
08

References and documents

Publications

  • Charlson M, Szatrowski TP, Peterson J, Gold J. Validation of a combined comorbidity index. J Clin Epidemiol. 1994 Nov;47(11):1245-51. doi: 10.1016/0895-4356(94)90129-5. PubMed 7722560 ↗
  • Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, Hiesmayr M, Mayer K, Montejo JC, Pichard C, Preiser JC, van Zanten ARH, Oczkowski S, Szczeklik W, Bischoff SC. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019 Feb;38(1):48-79. doi: 10.1016/j.clnu.2018.08.037. Epub 2018 Sep 29. PubMed 30348463 ↗
  • Stevens J, Wyatt C, Brown P, Patel D, Grujic D, Freedman SD. Absorption and Safety With Sustained Use of RELiZORB Evaluation (ASSURE) Study in Patients With Cystic Fibrosis Receiving Enteral Feeding. J Pediatr Gastroenterol Nutr. 2018 Oct;67(4):527-532. doi: 10.1097/MPG.0000000000002110. PubMed 30074573 ↗
  • Freedman S, Orenstein D, Black P, Brown P, McCoy K, Stevens J, Grujic D, Clayton R. Increased Fat Absorption From Enteral Formula Through an In-line Digestive Cartridge in Patients With Cystic Fibrosis. J Pediatr Gastroenterol Nutr. 2017 Jul;65(1):97-101. doi: 10.1097/MPG.0000000000001617. PubMed 28471913 ↗
  • van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R. Intensive insulin therapy in critically ill patients. N Engl J Med. 2001 Nov 8;345(19):1359-67. doi: 10.1056/NEJMoa011300. PubMed 11794168 ↗
  • Wang S, Ma L, Zhuang Y, Jiang B, Zhang X. Screening and risk factors of exocrine pancreatic insufficiency in critically ill adult patients receiving enteral nutrition. Crit Care. 2013 Aug 7;17(4):R171. doi: 10.1186/cc12850. PubMed 23924602 ↗
  • Saberi F, Heyland D, Lam M, Rapson D, Jeejeebhoy K. Prevalence, incidence, and clinical resolution of insulin resistance in critically ill patients: an observational study. JPEN J Parenter Enteral Nutr. 2008 May-Jun;32(3):227-35. doi: 10.1177/0148607108316195. PubMed 18443133 ↗
  • Nordenstrom J, Carpentier YA, Askanazi J, Robin AP, Elwyn DH, Hensle TW, Kinney JM. Free fatty acid mobilization and oxidation during total parenteral nutrition in trauma and infection. Ann Surg. 1983 Dec;198(6):725-35. doi: 10.1097/00000658-198312000-00011. PubMed 6416194 ↗
  • Kutsogiannis J, Alberda C, Gramlich L, Cahill NE, Wang M, Day AG, Dhaliwal R, Heyland DK. Early use of supplemental parenteral nutrition in critically ill patients: results of an international multicenter observational study. Crit Care Med. 2011 Dec;39(12):2691-9. doi: 10.1097/CCM.0b013e3182282a83. PubMed 21765355 ↗
  • Kelly MK. Bedside caregivers as change agents: implementation of early enteral nutrition in critical care. Crit Care Nurs Clin North Am. 2014 Jun;26(2):263-75. doi: 10.1016/j.ccell.2014.02.001. PubMed 24878211 ↗
  • Jarden RJ, Sutton LJ. A practice change initiative to improve the provision of enteral nutrition to intensive care patients. Nurs Crit Care. 2015 Sep;20(5):242-55. doi: 10.1111/nicc.12107. Epub 2014 Jul 18. PubMed 25040624 ↗
  • Jordan EA, Moore SC. Enteral nutrition in critically ill adults: Literature review of protocols. Nurs Crit Care. 2020 Jan;25(1):24-30. doi: 10.1111/nicc.12475. Epub 2019 Oct 10. PubMed 31602712 ↗
  • Compton F, Bojarski C, Siegmund B, van der Giet M. Use of a nutrition support protocol to increase enteral nutrition delivery in critically ill patients. Am J Crit Care. 2014 Sep;23(5):396-403. doi: 10.4037/ajcc2014140. PubMed 25179035 ↗
  • Doig GS, Heighes PT, Simpson F, Sweetman EA, Davies AR. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med. 2009 Dec;35(12):2018-27. doi: 10.1007/s00134-009-1664-4. Epub 2009 Sep 24. PubMed 19777207 ↗
  • Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med. 2001 Dec;29(12):2264-70. doi: 10.1097/00003246-200112000-00005. PubMed 11801821 ↗
  • Tian F, Heighes PT, Allingstrup MJ, Doig GS. Early Enteral Nutrition Provided Within 24 Hours of ICU Admission: A Meta-Analysis of Randomized Controlled Trials. Crit Care Med. 2018 Jul;46(7):1049-1056. doi: 10.1097/CCM.0000000000003152. PubMed 29629984 ↗
  • Hejazi N, Mazloom Z, Zand F, Rezaianzadeh A, Amini A. Nutritional Assessment in Critically Ill Patients. Iran J Med Sci. 2016 May;41(3):171-9. PubMed 27217600 ↗
  • Elpern EH, Stutz L, Peterson S, Gurka DP, Skipper A. Outcomes associated with enteral tube feedings in a medical intensive care unit. Am J Crit Care. 2004 May;13(3):221-7. PubMed 15149056 ↗
  • Osooli F, Abbas S, Farsaei S, Adibi P. Identifying Critically Ill Patients at Risk of Malnutrition and Underfeeding: A Prospective Study at an Academic Hospital. Adv Pharm Bull. 2019 Jun;9(2):314-320. doi: 10.15171/apb.2019.037. Epub 2019 Jun 1. PubMed 31380259 ↗
  • Wray CJ, Mammen JM, Hasselgren PO. Catabolic response to stress and potential benefits of nutrition support. Nutrition. 2002 Nov-Dec;18(11-12):971-7. doi: 10.1016/s0899-9007(02)00985-1. PubMed 12431720 ↗
  • Lew CCH, Yandell R, Fraser RJL, Chua AP, Chong MFF, Miller M. Association Between Malnutrition and Clinical Outcomes in the Intensive Care Unit: A Systematic Review [Formula: see text]. JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):744-758. doi: 10.1177/0148607115625638. Epub 2016 Feb 2. PubMed 26838530 ↗

Individual participant data

Plan to share: No

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2025 to primary completion in May 2026, 11 months.

Of 28 interventional studies with no phase under Multiple Organ Failure, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 54. This study's 11 months is below that.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 13, 2026: primary completion Aug 2026 → May 2026 and completion Aug 2026 → Dec 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Jan 24, 2023
First posted
Feb 2, 2023
StartActual
May 7, 2025
Primary completionActual
May 3, 2026was Aug 2026
CompletionEst.
Dec 31, 2026was Aug 2026
Last update
Oct 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Primary completion
Aug 31, 2026→May 3, 2026 (actual)
Oct 13, 2026
Study completion
Aug 31, 2026→Dec 31, 2026
Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Primary completion Aug 31, 2026→May 3, 2026 (now actual)
    Study completion Aug 31, 2026→Dec 31, 2026
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05710315
Lead sponsor
Inova Health Care Services
Collaborators
Alcresta Therapeutics, Inc.
Responsible party
Sponsor
First posted
Feb 2, 2023
Start date
May 7, 2025
Primary completion
May 3, 2026
Completion
Dec 31, 2026 (estimated)
Last update
Oct 13, 2026

Study contacts

George Kasotakis, MD MPH
principal investigator · Inova Fairfax Medical Campus

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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